Active NPI
Edmond Habash, P.A-C
- Physician Assistant
- Great Bend, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1500579
- Practice address
- 3515 Broadway Ave
Suite 107
Great Bend, KS 67530-3633 - Phone
- (620) 793-8429
- Fax
- (620) 793-6014
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1500579 | KS | Primary |
Addresses
Primary practice location
3515 Broadway Ave
Suite 107
Great Bend, KS 67530-3633
Mailing address
PO Box 310
Great Bend, KS 67530-0310
Phone (620) 786-6475
Other practice location 1
3720 10th St
Great Bend, KS 67530-3543
Phone (620) 796-2135
Other practice location 2
2214 Canterbury Dr Ste 308
Hays, KS 67601-2385
Phone (785) 628-6014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100359440B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 650-2700
2300 N 14TH Ave
200 Haysmed Multispecialty Clinic in Dodge
Dodge City, KS 67801-2367
Phone (620) 371-5197
3800 10TH St
Great Bend, KS 67530-3549
Phone (620) 796-2135
Hospital & facility affiliations
- Hays Medical Center
- Pawnee Valley Community Hospital
- University of KS HLTH System Great Bend Campus
- Centura St. Catherine-Dodge City
- Hodgeman County Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.72 of 100
- Quality
- 68.82
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hays Medical Center, Inc | Current | Accepting new patients | |
| Hays Medical Center, Inc. | Current | Accepting new patients | |
| Central Kansas Medical Center | Past | Accepting new patients | |
| Hays Medical Center, Inc. | Past | Accepting new patients | |
| Central Kansas Medical Center | Past | Accepting new patients | |
| Central Kansas Medical Center | Past | Accepting new patients | |
| Central Kansas Medical Center | Past | Accepting new patients | |
| Central Kansas Medical Center | Past | Accepting new patients |
Locations
3720 10th St
Great Bend, KS 67530
Phone (620) 792-4006
3800 10th St
Great Bend, KS 67530
Phone (620) 603-4216
2214 Canterbury Dr
Ste 308
Hays, KS 67601
Phone (785) 261-7650
2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000
Interoperability endpoints
- edmond.habash@haysmeddirect.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Cardiology Physician
- Hays, KS
- NPI 1770618258
-
- Anatomic Pathology & Clinical Pathology Physician
- Hays, KS
- NPI 1073306221
-
- Obstetrics & Gynecology Physician
- Hays, KS
- NPI 1417082181
-
- Family Medicine Physician
- Great Bend, KS
- NPI 1043556400
-
- Specialist
- Great Bend, KS
- NPI 1134326929
-
- Internal Medicine Physician
- Great Bend, KS
- NPI 1326098054
-
- Family Medicine Physician
- Great Bend, KS
- NPI 1467402040
-
- Orthopaedic Surgery Physician
- Great Bend, KS
- NPI 1881927382
-
- Internal Medicine Physician
- Hays, KS
- NPI 1871567479
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dodge City, KS
- NPI 1689317190
-
- General Acute Care Hospital
- Hays, KS
- NPI 1881697043
-
- Critical Access Hospital
- Jetmore, KS
- NPI 1821098252
-
- Critical Access Hospital
- Larned, KS
- NPI 1568401206
-
- General Acute Care Hospital
- Great Bend, KS
- NPI 1548750417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1194774901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675300310",
"telephone_number": "620-786-6475",
"fax_number": "620-786-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 BROADWAY AVE",
"address_2": "SUITE 107",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303633",
"telephone_number": "620-793-8429",
"fax_number": "620-793-6014"
}
],
"practiceLocations": [
{
"address_1": "3720 10th St",
"address_purpose": "LOCATION",
"city": "Great Bend",
"state": "KS",
"postal_code": "675303543",
"country_code": "US",
"telephone_number": "620-796-2135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2214 Canterbury Dr Ste 308",
"address_purpose": "LOCATION",
"city": "Hays",
"state": "KS",
"postal_code": "676012385",
"country_code": "US",
"telephone_number": "785-628-6014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HABASH",
"first_name": "EDMOND",
"credential": "P.A-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "1500579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100359440B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.